What are the responsibilities and job description for the Medical Claims Processor position at Foundation for Medical Care of Kern County?
Why Work Here:
Foundation for Medical Care of Kern County/HealthEdge Administrators was founded more than 50 years ago and is located in Bakersfield, CA. FMC/HealthEdge works directly with brokers, consultants, general agents and insurance companies to provide the most appropriate healthcare solutions to our clients, concentrating our efforts in each of the communities we serve. We are a small business that is customer-centric, agile, supportive, and with an engaging culture. We envision ourselves as a trusted leader in our healthcare community, demonstrating performance excellence to our employees, providers clients and business associates.
Our work environment includes:
- Modern office setting
- Hybrid remote/in-office schedules
- Growth opportunities
- On-the-job training
- Relaxed atmosphere
- Regular social events
Foundation for Medical Care of Kern County and HealthEdge Administrators is currently recruiting for a Medical Claims Processor in Bakersfield, CA. We are looking for the right candidate to join our team! The ideal candidate has extensive professional medical claims processing, billing and/or coding experience, payment posting, insurance and benefits plan knowledge. Familiarity with Medicare guidelines is a plus. Attention to detail, critical thinking/decision making and adaptability are critical skills for this role.
Previous medical claims processing experience preferred.
Job Summary
Processes medical claims and claims related duties accurately and with reasonable speed. Conducts research, analyzes claims information and evaluates benefit plans and fee schedules to accurately process claims. Follows Company, client and regulatory guidelines to meet and exceed departmental production goals as established by the Claims Manager.
Knowledge, Skills and Abilities Required
- Must possess extensive knowledge of medical terminology and benefits, CPT, HCPCS, Revenue and ICD10 codes
- Must possess knowledge of professional medical claims, including modifiers and medical procedures
- Must be familiar with Medicare guidelines
- Detail-oriented, self-starter with desire to learn
- Thoroughly researches and analyzes information, thinks critically
- Able to adapt quickly to changing processes
- Proficient in data-based systems and related technical software programs
- Proficient in Microsoft Office applications including Word, Outlook and Excel
- Must possess the ability to perform mathematic equations
- Must have high level attendance in accordance with FMC Attendance Policy
Qualifications
- High school diploma or equivalent required
- Two years’ professional medical office experience, medical billing, payment posting, claims or appeals processing required
- Certified Coder preferred
- Familiarity with Medicare guidelines preferred
- Current typing certificate, minimum 35 wpm
Full-Time position. Excellent health benefits, 401(k), employee culture, development and rewards programs. *Salary depends on experience & qualifications.*
Job Type: Full-time
Pay: $18.01 - $23.76 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- High school or equivalent (Required)
Experience:
- Claims Processing: 2 years (Preferred)
- Medical Front Office: 2 years (Required)
- Medical billing/payment posting: 2 years (Preferred)
Ability to Relocate:
- Bakersfield, CA 93309: Relocate before starting work (Required)
Work Location: Hybrid remote in Bakersfield, CA 93309
Salary : $18 - $24
